Doctor Name: | MRS. KRISTY DAWN POE |
NPI Number: | 1720209133 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCCSLP |
License Number: | 1279 |
Business Practice Address: | 2233 Highway 31 N Beebe, AR - 720129781 |
Business Phone Number: | 5018825605 |
Business Fax Number: | |
Mailing Address: | 2233 Highway 31 N, BEEBE |
State: | AR |
Postal Code: | 720129781 |
Phone Number: | 5018825605 |
Fax Number: | |
NPI Enumeration Date: | 05/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1279 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |